
<include file="Flat:header" />

<style media="screen">

</style>

<body>


    <table data-sort="sortDisabled" align="center" style="width: 100%;" border="1">
    <tbody>
        <tr class="firstRow">
            <td valign="top" style="word-break: break-all;" rowspan="1" colspan="7" align="center">
                <strong><span style="font-size: 24px;">佛山市顺德德胜幼儿园入园登记表</span></strong>
            </td>
        </tr>
        <tr>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                NO.
            </td>
            <td valign="top" style="word-break: break-all;" rowspan="1" colspan="2">
                <?php echo getFullNum($studentInfo['student_id']); ?>
            </td>
            <td width="137" valign="top" style="word-break: break-all;">
                入读日期：
            </td>
            <td valign="top" style="word-break: break-all;" rowspan="1" colspan="2">
                xxx
            </td>
            <td width="137" valign="top" style="word-break: break-all;" rowspan="4" colspan="1"></td>
        </tr>
        <tr>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                幼儿姓名
            </td>
            <td width="137" valign="top" style="word-break: break-all;">{$studentInfo['name']}</td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                性别
            </td>
            <td width="137" valign="top" style="word-break: break-all;"><?php echo $studentInfo['sex']==1? '男':'女'; ?></td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                出生年月
            </td>
            <td width="137" valign="top"><?php echo date('Y-m-d',$studentInfo['birth_date']); ?></td>
        </tr>
        <tr>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                出生地
            </td>
            <td width="137" valign="top">{$studentInfo['birth_address']}</td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                籍贯
            </td>
            <td width="137" valign="top">{$studentInfo['native_place']}</td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                报读班级
            </td>
            <td width="137" valign="top">
				<?php $desc = '';
				$value = $studentInfo['add_class'];
				if($value=='1'){ $desc = '小小班'; }
				if($value=='2'){ $desc = '小班'; }
				if($value=='3'){ $desc = '中班'; }
				if($value=='4'){ $desc = '大班'; }  echo $desc; // ?>
			</td>
        </tr>
        <tr>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                家庭地址
            </td>
            <td width="137" valign="top" style="word-break: break-all;">
                {$studentInfo['address']}
            </td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                家庭电话
            </td>
            <td width="137" valign="top" style="word-break: break-all;"></td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                是否业主
            </td>
            <td width="137" valign="top"></td>
        </tr>
        <tr>
            <td width="137" valign="middle" style="word-break: break-all;" rowspan="4" colspan="1" align="center">
                家庭成员情况
            </td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                姓名
            </td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                称谓
            </td>
            <td valign="middle" style="word-break: break-all;" rowspan="1" colspan="2" align="center">
                工作单位（学校）
            </td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                职务
            </td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                单位电话及手机号码
            </td>
        </tr>
        <tr>
            <td width="137" valign="top" style="word-break: break-all;">
                xx
            </td>
            <td width="137" valign="top"></td>
            <td valign="top" rowspan="1" colspan="2"></td>
            <td width="137" valign="top"></td>
            <td width="137" valign="top"></td>
        </tr>
        <tr>
            <td width="137" valign="top" style="word-break: break-all;">
                xx
            </td>
            <td width="137" valign="top"></td>
            <td valign="top" rowspan="1" colspan="2"></td>
            <td width="137" valign="top"></td>
            <td width="137" valign="top"></td>
        </tr>
        <tr>
            <td width="137" valign="top" style="word-break: break-all;">
                xx
            </td>
            <td width="137" valign="top"></td>
            <td valign="top" rowspan="1" colspan="2"></td>
            <td width="137" valign="top"></td>
            <td width="137" valign="top"></td>
        </tr>
        <tr>
            <td width="137" valign="middle" style="word-break: break-all;" rowspan="4" colspan="1" align="center">
                幼儿情况
            </td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                体质
            </td>
            <td width="137" valign="middle" style="word-break: break-all;" align="center">
                有否午睡习惯
            </td>
            <td valign="middle" style="word-break: break-all;" rowspan="1" colspan="2" align="center">
                最不喜欢的食物
            </td>
            <td valign="middle" rowspan="1" colspan="2" align="center">
                日常有谁照顾
            </td>
        </tr>
        <tr>
            <td valign="top" colspan="1" rowspan="1" style="word-break: break-all;">
                xx
            </td>
            <td valign="top" colspan="1" rowspan="1"></td>
            <td valign="top" colspan="2" rowspan="1"></td>
            <td valign="top" colspan="2" rowspan="1"></td>
        </tr>
        <tr>
            <td valign="middle" colspan="2" rowspan="1" style="word-break: break-all;" align="center">
                有何药物过敏
            </td>
            <td valign="middle" colspan="2" rowspan="1" style="word-break: break-all;" align="center">
                有何食物过敏
            </td>
            <td valign="middle" colspan="2" rowspan="1" align="center">
                有何特殊病史
            </td>
        </tr>
        <tr>
            <td valign="top" colspan="2" rowspan="1" style="word-break: break-all;">
                xx
            </td>
            <td valign="top" colspan="2" rowspan="1"></td>
            <td valign="top" colspan="2" rowspan="1"></td>
        </tr>
        <tr>
            <td valign="middle" colspan="1" rowspan="2" style="word-break: break-all;" align="center">
                本园填
            </td>
            <td valign="middle" colspan="1" rowspan="1" style="word-break: break-all;" align="center">
                园服型号
            </td>
            <td valign="middle" colspan="1" rowspan="1" style="word-break: break-all;" align="center">
                班级安排
            </td>
            <td valign="middle" colspan="2" rowspan="1" align="center">
                体检结果
            </td>
            <td valign="middle" colspan="2" rowspan="1" style="word-break: break-all;" align="center">
                备注
            </td>
        </tr>
        <tr>
            <td valign="top" colspan="1" rowspan="1" style="word-break: break-all;">
                xx
            </td>
            <td valign="top" colspan="1" rowspan="1"></td>
            <td valign="top" colspan="2" rowspan="1" style="word-break: break-all;"></td>
            <td valign="top" colspan="2" rowspan="1" style="word-break: break-all;"></td>
        </tr>
        <tr>
            <td valign="top" colspan="7" rowspan="1" style="word-break: break-all;" align="right">
                班级存
            </td>
        </tr>
    </tbody>
</table>

</body>

<?php include('./footer.php') ?>
<script type="text/javascript">

</script>
